Devices and methods for magnetic stimulation for the treatment of neurological disorders

ABSTRACT

Described herein are magnetic neural stimulation systems for the treatment of neurological disorders. One variation of a magnetic neural stimulation system includes magnetic stimulators shaped as helical or ramped coils, where each turn of the coil has an acute turning angle of less than 90 degrees. Also described herein are magnetic neural stimulation systems that include an array of stimulators and one or more shielding components. The shielding components modulate the density profile of the induced eddy currents to increase stimulation to targeted neural tissue regions while decreasing stimulation to non-targeted neural regions. Other variations of magnetic stimulation systems include one or more stimulators and a shield in which some of the induced eddy currents in the shield may act to attenuate the magnetic field in certain regions of the shield.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. patent application Ser. No.14/882,286, filed Oct. 13, 2015, which is a continuation application ofU.S. patent application Ser. No. 14/468,294, filed Aug. 25, 2014, whichis a continuation application of PCT patent application no.PCT/US2013/052363, filed Jul. 26, 2013, which claims priority to U.S.Provisional Patent Application No. 61/741,872 filed Jul. 30, 2012 andU.S. Provisional Patent Application No. 61/785,651 filed Mar. 14, 2013,which are each hereby incorporated by reference in its entirety.

BACKGROUND

Presently, magnetic stimulation devices are employed in the treatment ofbrain neuron disorder such as depression, obsessive-compulsive disorder,insomnia, bipolar disease, epileptic or febrile seizures etc. Forexample, transcranial magnetic stimulation (TMS) is a non-invasivemethod that uses brief, intense pulses of electric current delivered ina coil placed on a patient's head to induce a time-varying magneticfield that gives rise to eddy currents within the patient's brain.Magnetic stimulators with various shapes and geometries have been usedin an attempt to generate different eddy current density profiles inorder to target neural tissues located at different depths in the skull.While certain magnetic stimulators have been able to stimulate neuronsin deeper cranial structures, in many cases the magnitude of the appliedcurrent to reach those structures generates excessive surface heat isuncomfortable for the patient. In addition, deeper brain stimulation mayalso be more diffuse in its treatment field, thereby activatingnon-targeted neurons in conjunction with the targeted neurons. Othermagnetic stimulators may provide more focused eddy current densities,but only at or near the surface of the skull.

Efforts are currently underway to develop magnetic neural stimulationsystems that can provide focused stimulation of neural tissues that arebeneath the skull. Magnetic stimulators that can provide a practitionerwith the ability to selectively stimulate certain neural populationswithout overheating or stimulating peripheral tissue regions may bedesirable.

BRIEF SUMMARY

The magnetic neural stimulation systems described herein may be used forthe treatment of neurological disorders (including, but not limited to,headaches, migraines, depression, obsessive-compulsive disorder,insomnia, bipolar disease, post-traumatic stress syndrome, Parkinson'sdisease, schizophrenia, dystonia, autism, pain, and epileptic or febrileseizures). In one embodiment, a magnetic stimulation system includes afirst coil comprising a single wire having a plurality of turn, and ashield including an external surface and an internal surface bothcomprising a non-conductive material, an internal cavity defined betweenthe external surface and the internal surface, a first opening,penetrating through the shield and communicating the external surfaceand the internal surface, and a first channel, formed on the externalsurface and intersecting the first opening, wherein the depth of firstchannel extends through the entire thickness of the shield to divide theinternal cavity, and a conductive substance, filled in the internalcavity.

BRIEF DESCRIPTION OF THE DRAWINGS

FIGS. 1A-1F depicts one variation of a ramped or helically coiledmagnetic stimulator. FIG. 1F depicts another variation of a ramped orhelically coiled magnetic stimulator with a plurality of acute turnsthat are rounded.

FIGS. 2A-2C depict one example of a method for making a ramped orhelically coiled stimulator from a single wire.

FIG. 2D depicts a table listing the coordinates of each turn of thestimulator of FIGS. 2A-2C.

FIG. 3A schematically depicts a subset of the current flow through thesingle wire of a ramped or helically coiled stimulator.

FIGS. 3B-3E depict close-up views of the current flowing through wirecrossings at various regions of the ramped or helically coiledstimulator, and the direction of the magnetic field lines induced by thecurrent.

FIG. 3F schematically depicts the cumulative direction of the magneticfield lines induced by a current through the single wire of a ramped orhelically coiled stimulator.

FIG. 3G schematically depicts the cumulative direction of the magneticfield lines induced by a current through the single wire of a ramped orhelically coiled stimulator with a plurality of acute turns that arecurved.

FIGS. 4A-4C depict simulation parameters used to model the eddy currentdensity profile generated by a ramped or helically coiled stimulator ascompared to a Figure-eight stimulator.

FIG. 4D depicts one variation of an input current waveform that may beused in stimulation.

FIG. 4E depicts another variation of an input current waveform that maybe used in stimulation.

FIGS. 5A-5D depict the simulation results using the parameters of FIGS.4A-4C.

FIG. 6 depicts another of a magnetic stimulator.

FIG. 7 plots the eddy current density generated by a looped stimulatorwith permanent magnet rings as compared to a Figure-eight stimulatorwithout magnet rings.

FIG. 8A depicts one variation of a magnetic neural stimulation systemcomprising one or more stimulators and a shielding component.

FIG. 8B depicts one variation of a shielding component.

FIG. 9 depicts simulation parameters used to model the eddy currentdensity profile generated by an array of Figure-eight stimulatorswithout shielding components as compared to a Figure-eight an array ofFigure-eight stimulators with shielding components.

FIG. 10 depict graphs including the simulation results using theparameters of FIG. 9 of the eddy current density profile generated by anarray of Figure-eight stimulators with various stimulation currents andwithout shielding components.

FIG. 11 depict graphs including the simulation results using theparameters of FIG. 9 of the eddy current density profile generated by anarray of Figure-eight stimulators with various stimulation currents andwith shielding components.

FIG. 12 depicts a table that summarizes the eddy current density atdifferent regions of tissue for each of the various simulationconfigurations depicted in FIGS. 10a-h and 11a -h.

FIGS. 13A-13C depict one variation of a magnetic stimulation systemcomprising at least one magnetic stimulator and a shield. FIG. 13A is aperspective view of the magnetic stimulation system, FIG. 13B is a sideview of the system of FIG. 13A and FIG. 13C depict the system of FIG.13A disposed over a head model.

FIG. 14A is a perspective view of one variation of a shield.

FIG. 14B is a top view of the shield of FIG. 14A.

FIG. 14C is a side view of the shield of FIG. 14A.

FIG. 14D is a front view of the shield of FIG. 14A.

FIG. 15A depicts a simulation of the eddy currents that may be inducedin a portion of a shield during magnetic stimulation.

FIG. 15B is an inset of a portion of FIG. 15A depicting a schematiccross-sectional diagram of the direction of eddy current flow.

FIGS. 16A and 16B depict the top view of various shields comprisinginlet and outlet ports for the circulation of the shield fluid.

FIGS. 17A-17D depict the top view of various shields having differentholes and channels.

FIGS. 18A-18C depict the side view of three different magneticstimulation systems and the eddy current distribution and density in asimulated head model.

FIGS. 18D and 18E depict normalized plots that represent eddy currentdensity as a function of skull depth.

DETAILED DESCRIPTION

Described herein are various devices and systems for magnetic neuralstimulation.

One variation of a system using a plurality of magnetic stimulators isdepicted in FIGS. 1A-1E. A system for magnetic neural stimulation mayhave one or more magnetic stimulators, e.g., two stimulators. Forexample, the magnetic neural stimulation system 100 may have a firstmagnetic stimulator 102 and a second magnetic stimulator 104 that isconnected to the first magnetic stimulator. Each of the magneticstimulators may be a ramped or helical coil made of a single wire havinga plurality of acute turns, where the turning angle is less than 90degrees. Using a single wire (e.g., a copper wire that may or may nothave a core of a different material) may ensure that the current acrossthe wire is the same across the entire helical coil, such that theinduced magnetic field is the same across the length of the wire. Thismay help reduce any variability of induced magnetic field such that apractitioner may control the stimulation of target neurons moreconsistently than stimulators that comprise more than one wire.Alternatively, a helically coiled stimulator may comprise multiplesegments of wire, e.g., two, three, four, five, six or more separatewires. The first and second magnetic stimulators may each have a firstend and a second end, where the first end is a positive terminal and thesecond end is a negative terminal. For example, the first end of thefirst stimulator 102 may be connected to the positive terminal of a highvoltage generator and the second end of the first stimulator may beconnected to the first end of the second stimulator 104. The second endof the second stimulator 104 may be connected to the negative terminalof a high voltage generator. The wire forming the first stimulator maycontinuously extend to form the second stimulator. Any desired number ofstimulators may be formed from the same wire such that the magneticfield induced by a current in the wire is the same across all of thestimulators.

The helically coiled magnetic stimulators 102, 104 may have any numberof turns 110, for example, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 20,21, etc. In some variations, the turning angle TA may be less than 90degrees, for example, 10 degrees, 15 degrees, 20 degrees, 25 degrees, 30degrees, 35 degrees, 40 degrees, 45 degrees, 50 degrees, 55 degrees, 60degrees, 89 degrees etc. In some variations, the turns 110 may be sharp(e.g., forming a corner with sharp edges) or curved (e.g., forming acorner with rounded edges). In some variations, the turns 110 may have aradius of curvature from about 1 mm to about 8 mm, similar to thehelically coiled stimulator depicted in FIG. 1F. The pitch (e.g., therise or distance between each turn) may vary depending on the diameterof the wire. In some variations, there may be additional space betweenthe turns for circulating air for cooling the stimulator. For example,magnetic stimulators 102, 104 may have 12 turns, where each turn has aturning angle of 30 degrees and the pitch may be about 1 mm, resultingin a total height H of 12 mm. The distance from each turn 110 to thecentral axis 112 of the helical coil may be the constant. In somevariations, the distance from each turn of a coil may vary, and mayincrease or decrease for each successive turn. For example, a magneticstimulator may be a spiraled coil, where the distance from each turn tothe central axis increases with each turn (e.g., a gradually wideningspiral coil), decreases with each turn (e.g., a gradually taperingspiral coil), or may be the same across all turns (e.g., a helicalcoil). A helical coil may refer to any geometry that has a series oframped shapes or structures, which may or may not have smooth curves. Ahelical coil may comprise a series of ramped structures where eachstructure is repeated (e.g., uniform repeating shapes), or may comprisea series of ramped structures where each structure is different (e.g.,non-uniform shapes that are repeatedly ramped). A helical coil may referto any geometry that has a shape or structure that is continuouslyrepeated and stacked, and/or ramped and rotated (e.g., twisted). In somevariations, each repeat of the shape or structure may be offset from itsadjacent repeat. For example, a helical coil may comprise an angularshape having sharp angles (e.g., a triangle, rectangle, star polygon)that is repeated and rotated as it ramps. Each iteration of the angularshape along the ramped or helical coil is stacked over the previousiteration, but is rotated such that the angles of one iteration are notaligned with the angles of the previous iteration (e.g., thecorresponding angles of the two iterations are rotationally offset). Therepeated shapes or structures of a helical coil may share a common axis(which may or may not be perpendicular to the surface of the treatmentsite). For example, the center of each iteration of the angular shape ofa helical coil may be aligned with the center of the other iterations,but may be rotationally offset from its adjacent iterations.Alternatively or additionally, a helical coil may refer to a series ofrepeated and ramped hypotrochoid (e.g., hypocycloid, deltoid, asteroid,etc.) or epitrochoid (e.g., epicycloid, cardioid, etc.) shapes. Althoughthe helically coiled magnetic stimulators described and depicted hereinhave a particular geometry, it should be understood that a helicallycoiled magnetic stimulator may have any of the geometries describedabove.

FIG. 1E depicts a top view down the central axis of one of the helicallycoiled magnetic stimulators 102, 104. As illustrated there, the profileof the magnetic stimulator (as viewed down the central axis 112) mayhave a star polygon shape, where each turn of the helical coil is avertex of the star polygon. For example, a coiled stimulator may have 12turns and may have a star polygon profile with 12 vertices. The centralregion 114 of the star polygon profile may have a high concentration ofwire crossings. The currents traversing the mesh of wire crossings inthe central region 114 may induce magnetic field lines pointing inopposite directions (e.g., both downward into the page and upward out ofthe page). These opposing field lines may repel each other, resulting ina cumulative magnetic field that is weaker on the inside of thehelically coiled stimulator than on the outside of the coil. Thisunexpected synergy between the induced magnetic field lines of themeshed wire crossing may act to enhance and/or strengthen the magneticfield just outside the helically coiled stimulator, which may allow themagnetic field to penetrate more deeply into a patient's head. FIG. 1Fdepicts a top view down the central axis of another variation of ahelically coiled magnetic stimulator 120, where each turn has an acuteturning angle of less than 90 degrees, but is curved with a radius ofcurvature from about 1 mm to about 5 mm.

The magnetic neural stimulation system 100 may be positioned withrespect to a patient's head (and/or any other anatomical region havingtarget neurons for stimulation) such that each of the magneticstimulators span a separate region of the head. FIGS. 1A-1C depict onevariation where the magnetic neural stimulation system 100 is positionedsuch that the first magnetic stimulator 102 covers a first region of thehead 106 and the second magnetic stimulator 104 cover a second region ofthe 108 that is different from the first region 106. In some variations,the first and second regions 106, 108 may have overlapping portionswhile in other variations, the first and second regions 106, 108 may notoverlap at all. The stimulators may be positioned at a distance from thetissue, where the selected distance may help to reduce heating of thesuperficial tissue surface. For example, the stimulators 102, 104 may beplaced 5 mm from the scalp of the head, and as depicted in FIG. 1C, eachstimulator may be positioned at an angle PA with respect to an axis thatis parallel to a tangent of the tissue surface. For example, the anglePA may be from about 0 degrees to about 60 degrees, e.g., about 15degrees.

The helically coiled stimulators may be enclosed in a cast. For example,as depicted in FIG. 1D, the magnetic stimulators 102, 104 may beenclosed in a bi-cylindrical cast 116, where each cylindrical regionencompasses one stimulator. The cast 116 may be made of any insulatingmaterial that does not substantially interfere with the magnetic fieldinduced by the stimulators, for example, ABS, HDPE or Teflon. There maybe a space between the stimulators and the interior wall of the cast,which may allow air to be circulated within the case 116 to cool thestimulators, if needed.

FIGS. 2A-2D depict a top view (X-Y plane) of a helically coiledstimulator having a star polygon profile and one method of making suchan stimulator. The stimulator 200 may have a first end 202 that may be apositive terminal and/or current source, and a second end 204 that maybe a negative terminal and/or current sink. The first end 202 may belocated along the central axis of the coil (which extends into thepage). The coil 200 may be formed by bending a single wire such thateach acute turn of the coil is located at the (X, Y, Z) coordinateslisted in the table shown in FIG. 2D. The first end 202 may start atpoint-a having coordinates (0, 0, 0), extend 10.4 mm to the left to afirst bend at point-b having coordinates (−10.4, 0, 0), which is thefirst point that is part of the coil structure. The wire then extends topoint-c having coordinates (0, 40, 0), which may be the first turn ofthe helical coil, where the angle of the turn is 30 degrees. Next, thewire extends to point-d having coordinates (20, −34.64, 1), which is thesecond turn of the helical coil having a rise of about 1 mm per turn(e.g., for a wire with a diameter of 1 mm). The rise may vary dependingon the diameter of the wire, and the amount of space desired for the aircirculation (e.g., for cooling purposes). Each turn of the helical isformed stepwise as provided in the table of FIG. 2D. The second end 204may also be aligned along the central axis of the coil, but offset fromthe first end 202 in the z-direction by 12 mm. The second end 204 may beconnected to a negative terminal of a high voltage generator or may beconnected to the first end of a second stimulator of a magnetic neuralstimulation system. The wire diameter may vary according to the maximumlevel of current that is to be supplied to the wire.

The eddy currents induced by a magnetic field induced by a current thatis provided to a helically coiled stimulator may be distributed suchthat deeper tissue structures may be magnetically stimulated withoutheating the superficial tissue structures to the same degree as anon-helically coiled stimulator would. Without being bound by theory,the acute turns of the helically coiled stimulator and the centralregion with a high density of overlapping segments of the same wire mayact to “repel” the magnetic field lines further away from thestimulator, which would allow it to induce eddy currents at deepertissue structures more efficiently than a magnetic stimulator withoutacute turns (e.g., a Figure-eight stimulator). FIGS. 3A-3F schematicallydepict the direction of the current (dark lines) through the single wire302 of a helically coiled stimulator 300 with 12 acute turns. FIG. 3B isa close-up view of a region 304 of the helically coiled stimulator 300.Although the current through the wire 302 is uniform throughout the wire302, direction of the current in the wire crossings that surround theregion 304 may generate magnetic field lines with opposing directionsthat cumulatively give rise to stronger magnetic field outside of theregion 304 than inside of the region 304. The direction of the magneticfield lines induced by the currents in the wire crossings around theregion 304 is represented by a circle with a central dot to indicatefield lines pointing up out of the page and a circle with a cross toindicate field lines pointing down into the page. As depicted in FIG.3B, the field lines within the region 304 oppose each other, but thefield lines outside of the coil all point down into the page. Moregenerally, as depicted in FIGS. 3C-3E, internal regions 306, 308, 310bounded by the multiple crossings of the single wire in the central meshregion generate magnetic field lines with opposing directions. However,as depicted in FIG. 3F, the regions outside of the helically coiledstimulator (e.g., regions that are not bound by multiple wire crossings)have magnetic field lines that all have the same direction (i.e., goingdownward into the page), while the central opening 303 has magneticfield lines that all have the same direction, but opposite to the fieldlines outside of the coil (i.e., going upward out of the page). Similarmagnetic field lines may be induced by a helically coiled stimulator 320with curved turns, as depicted in FIG. 3G. Such distribution ofunidirectional field lines outside the helically coiled stimulator andin the central opening of the stimulator may enhance the magnitude ofthe field lines such that they penetrate more deeply into the tissue.Because a helically coiled stimulator with multiple acute turns canstimulate deeper tissues with less current than a magnetic stimulatorwithout acute turns, superficial tissue (e.g., scalp, surface skin) maynot be subject to as much heat as compared to using a non-helicallycoiled stimulator to obtain similar levels of stimulation. Since theheat experienced by superficial tissue structures may be reduced, anypain or discomfort experienced by the patient may also be similarlyreduced. In addition, this may allow for prolonged or repetitivestimulation, e.g., r-TMS. This may be particularly useful for treatmentof depression.

The eddy currents induced by a magnetic field generated by a currentthat is provided to a helically coiled stimulator may be modeled usingthe parameter values and stimulation waveform depicted in FIGS. 4A-4D.The distribution eddy currents of helically coiled stimulators andFigure-eight stimulators were modeled for comparison. The helicallycoiled stimulators, Figure-eight stimulators, human head models and theeddy current solver were implemented with the finite element methodbased on Maxwell's equations. The human head was modeled by asemi-spherical shape with a 16 cm diameter, where the outer portion ofthe sphere was modeled as cortical bone of the skull having a thicknessof 7 mm with the parameter values outlined in the table of FIG. 4A, andthe inner portion of the sphere (e.g., brain matter) was modeled withthe parameter values outlined in the table of FIG. 4B. The valuesassociated with human tissue properties and parameters may be based ondata published by the Italian Research Council(http://niremf.ifac.cnr.ithissprop/htmlclie/htmlclie.htm#atsftag). Theeddy currents induced by a pair of helically coiled stimulators (thestimulators described and depicted in FIGS. 1A-1E) and Figure-eightstimulators were modeled. The current applied to the stimulators was asine wave, having a frequency of 1 kHz and a magnitude of 16 A, asdepicted in FIG. 4C. In other simulations, it is possible to provide aninput current having any frequency, for example a frequency less than 1Hz (which may provide excitatory stimulation to neurons) or a frequencyequal to or greater than 1 Hz (which may inhibit neuronal activity).Input current waveforms may include various sinusoidal waveforms (suchas the waveform depicted in FIG. 4D), square waveforms, decaying peakwaveforms (such as the waveform depicted in FIG. 4E) and may be pulsedor continuous. The input current may be bipolar or unipolar. Otherexamples of potential input waveforms are described in various researchpapers, including a paper by Zhi-De Deng et al 2011 J. Neural Eng. 8016007 doi:10.1088/1741-2560/8/1/016007. The positions of the helicallycoiled stimulators and Figure-eight stimulators were kept the same, andhad the same positions as shown in FIG. 1B. For some simulations, thespacing between the individual loops of the Figure-eight stimulator wasvaried, from 2 mm to 42 mm

FIG. 5A depicts an example of the simulated eddy current densitydistribution. The arrow indicates the axis along which the magnitude ofthe eddy current density is measured to for FIGS. 5B-5D. The plot ofFIG. 5B compares the eddy current density of both the helically coiledstimulators and Figure-eight stimulators as a function of distance fromthe surface of the head into the white matter of the brain. The distanceis measured at the midline of the head, as indicated by the arrow. Asshown there, the eddy currents induced by the helically coiledstimulators is greater at higher distances than the eddy currentsinduced by the Figure-eight stimulators, regardless of the spacingbetween the loops of the Figure-eight stimulators. The depth ofpenetration of the eddy currents induced by the helically coiledstimulators is greater than the penetration depth of the eddy currentsinduced by the Figure-eight stimulators. In addition, the helicallycoiled stimulator may give rise to an eddy current density near thesurface of brain's white matter that is about twice current density aswould be provided by a Figure-eight stimulator. FIG. 5C depicts a plotof the eddy current density as a function of distance for helicallycoiled stimulators and the best of Figure-eight stimulators (with 2 mmspacing), and FIG. 5D depicts a plot of the normalized eddy currentdensity (i.e., eddy current density is normalized to the maximum eddycurrent density value at the surface of the head model) in the whitematter of the head model. The solid line represents the eddy currentdensity generated by a helically coiled stimulator and the dotted linerepresents the eddy current density generated by a Figure-eightstimulator. As may be seen there, with the same amount of currentapplied to each of the stimulators, the magnitude of the eddy currentdensity induced by the helically coiled stimulator is greater at adeeper distance into the white matter of the head model as compared tothe eddy current density induced by the Figure-eight stimulator. Thesesimulation results indicate that with the same amount of current appliedto the helically coiled stimulator and the Figure-eight stimulator, thestimulation strength and depth of penetration is greater for thehelically coiled stimulator than for the Figure-eight stimulator.

Another variation of a magnetic stimulator is depicted in FIG. 6. Thestimulator 600 may comprise a first wire loop 602, a second wire loop604, a first magnetic ring 606 circumscribing the first wire loop 602and a second magnetic ring 608 circumscribing the second wire loop 602.The first and second magnetic rings may be permanent magnets, and may bemade of any magnetic material, such as iron, nickel, cobalt, and mayinclude alloys (e.g., a neodymium-iron-boron alloy). The loops of thestimulator 600 may be located adjacent to each other and coupledtogether via a connector, and in some examples, may be substantiallyco-planar. A connector between the first and second loops may allow theangle between the two loops to be adjusted. For example, the anglebetween the first and second loops 602, 604 of the looped stimulator 600may be adjusted to approximate the radius of curvature of a head 601.Without being bound by theory, the magnetic rings around the wire loopsmay act to “repel” the magnetic field lines of the wire loops when acurrent is provided through the loops such that the field lines extendfurther in a direction orthogonal to the plane of the loops (i.e., inthe z-direction). This may allow the looped stimulator to generate amagnetic field that penetrates deeper into the tissue than a similarlooped stimulator without magnetic rings. As a result, a loopedstimulator with magnetic rings may induce eddy currents at a deepertissue depth than a looped stimulator without magnetic rings.

The eddy currents induced by the looped stimulator and the Figure-eightstimulator have been modeled using similar parameters as previouslydescribed and detailed in FIGS. 4A-4C, and include additional parametersto model the magnetic characteristics of the magnetic rings. Forexample, simulations were run on a looped stimulator withneodymium-iron-boron magnetic rings that have the followingcharacteristics: relative permittivity of 1, relative permeability of 1,conductivity of 7.14e+5 s/m, dielectric loss tangent of 0 (zero),magnetic loss tangent of 0 (zero), and magnetic coercivity of 1.00e+6A/m. The results of those simulations are depicted in FIG. 7. FIG. 7depicts a plot that compares the eddy current density as a function ofdistance for the looped stimulator of FIG. 6 (which has magnetic rings)and a Figure-eight stimulator (which lacks magnetic rings). As depictedthere, the current density attained by using the looped stimulator isabout ten times the current density attained by using a Figure-eightstimulator. The magnetic rings of the looped stimulator may act to“amplify” the amount of electric field that is induced by the wire loopssuch that the eddy currents are greater than if they were generated by aFigure-eight stimulator that does not have the magnetic rings.

Optionally, some variations of a magnetic neural stimulation system mayalso comprise one or more magnetic shielding components, which may beplaced between the magnetic stimulators. For example, a magnetic neuralstimulation system may comprise a plurality of magnetic stimulators thatare spaced apart from each other (e.g., the magnetic stimulators may bein an array such that they do not overlap each other). The magneticstimulators may be any of the magnetic stimulators described herein. Oneor more shielding components may be located in the spaces between themagnetic stimulators. The shielding component may be used to reduce thesensation of pain experienced by the patient that may arise from theeddy currents induced by the stimulators when they are activated. Theshielding component may also shape the magnetic field generated by thestimulators so that the density of induced eddy currents are reduced inthe superficial tissue structures. Inducing eddy currents in superficialtissue structure (or any non-target tissue in general) may cause painand seizures in some patients, which may result in the interruption ortermination of treatment for those patients. FIG. 8A schematicallydepicts a magnetic neural stimulation system 800 disposed over a headmodel 801, the system comprising a first stimulator 802, a secondstimulator 804 adjacent to the first stimulator, and a shieldingcomponent 806 between them. In one variation, the shielding component806 may be a cylindrical disc, as depicted in FIG. 8B. The cylindricalshield 806 may have a diameter D of about 50 mm and a thickness T ofabout 5 mm. The cylindrical shield 806 may be configured to retain afluid, such as saline, which may help to dissipate heat generated by thestimulators during use and may also modulate the magnetic fieldgenerated by the stimulator. The fluid may be circulated through thecylindrical shield, for example, via inlet and outlet channels 808, 810.

The effect of including one or more shielding components in astimulation system on the density and distribution of induced eddycurrents was simulated using similar parameters and models as describedpreviously. In the simulations, the fluid within the shielding componentwas modeled as saline, with the parameters outlined in the table of FIG.9. The simulation results in the plots of FIG. 10, including a-h graphsand FIG. 11, including a-h graphs and summarized in FIG. 12 reflect thedensity and distribution of eddy currents induced by four Figure-eightstimulators and three cylindrical shields disposed between thestimulators positioned over a head. The amount of current applied acrosseach stimulator is indicated in each of the plots. For example, toobtain the simulated eddy current distribution depicted in graph a ofFIGS. 10 and 11, 15 A of current was applied to the middle twostimulators, and 1 A was applied to each of the side stimulators. Grapha of FIG. 10 shows the eddy current distribution generated by fourstimulators without shielding components, while graph a of FIG. 11 showsthe eddy current distribution of the same four stimulators but with acylindrical shielding component disposed between each of thestimulators. To obtain the simulated eddy current distribution depictedin graph h of FIGS. 10 and 11, 1 A of current was applied to the middletwo stimulators, and 15 A was applied to each of the side stimulators.Graph h of FIG. 10 shows the eddy current distribution generated by fourstimulators without shielding components, graph h in FIG. 11 shows theeddy current distribution of the same four stimulators but with acylindrical shielding component disposed between each of thestimulators. The normalized eddy current density at various locationsalong the surface of the head (e.g., at the central axis of the head, 30degrees from a central axis of the head, 60 degrees from the centralaxis of the head) is summarized in the table depicted in FIG. 12. Thenumbers reflected in the table are the eddy current density at the headsurface normalized to eddy current density 2.5 cm deep within the head.With cylindrical shields between each of the stimulators, the eddycurrent density along the surface of the head is reduced. For example,the normalized eddy current density on the head surface at the centralaxis based on the current simulation pattern of graphs a of FIGS. 10, 11is without shielding is 2.97 and 2.58 with shielding. As depicted in theplots of FIGS. 10 and 11, and the summary table of FIG. 12, adjustingthe magnitude of the current through the stimulators and the locationand angle of the stimulators with respect to the head may modulate theprofile of the induced eddy current. In combination with shieldingcomponents, specific eddy current distribution profiles (e.g., shape,density, depth, etc.) may be obtained. These may allow a practitioner toselectively stimulate targeted neural populations in the brain, whilereducing stimulation of non-target neurons. Selectively stimulatingneural populations in brain while avoiding or reducing stimulation ofnon-targeted neurons may help to reduce the amount of pain experiencedby the patient (e.g., scalp pain, discomfort from heat from thestimulator), which may allow for prolonged and/or repeated stimulationtreatment.

Another variation of a magnetic shield that may be used with any of themagnetic stimulators described herein is depicted in FIGS. 13A-13C.Magnetic stimulation system 1300 may comprise a first stimulator 1302, asecond stimulator 1304, and a shield 1306. The first and secondstimulators 1302, 1304 may be arranged to be adjacent to each other(e.g., connected to each other in series) and positioned over apatient's head 1301, with the shield 1306 located between thestimulators and the patient's head. The shield 1306 may be sized andshaped to fit over a patient's head (or any anatomical region for whichmagnetic stimulation and/or shielding is desired). Additional views ofthe shield 1306 are depicted in FIGS. 14A-14D. As illustrated there,shield 1306 may comprise an external surface 1402, an internal surface1406, an enclosed internal cavity that extends between the external andinternal surfaces, a first opening 1408, a second opening 1410, a firstchannel 1412 that intersects the first opening 1408 and extends betweenthe front 1403 and back 1405 of the shield 1306, and a second channel1414 that intersects the second opening 1410 and extends between thefront 1403 and back 1405 of the shield 1306. The external surface is theside of the shield that may be closest to the stimulators and theinternal surface is the side of the shield that may be closest to theskin surface (e.g., may contact the skin surface). The first and secondopenings 1408, 1410 and the first and second channels 1412, 1414 maytransect and/or extend through the entire thickness of the shield 1306.The internal cavity of the shield may be filled with a conductive fluid(e.g., saline, salt water, sulfuric acid solutions containing iron oxidenanocrystal particles, etc.), which may act as a thermal sink and/ormedium in which eddy currents may be induced. The external and internalsurfaces of the shield may be made of a non-conductive material and mayoptionally be transparent or translucent. The openings may allow themagnetic field from the stimulators pass through into the tissueunderneath the shield, while the tissue located under the shield in thespace between the first and second openings may be shielded frommagnetic stimulation such that the induced eddy current density in thatregion is less than what the eddy current density would be if the shieldwas absent. In some variations, the shield may comprise a hollow walledstructure with one or more openings that extend through the wall and aconductive fluid within the hollow portion of the wall. The stimulatorstructures described herein may also be used alone, without shield, ormay be used with other magnetic or temperature shielding known in theart. The shielding described herein may also be used with other types ofstimulators known in the art.

The shield 1306 may be capable of reducing the induced eddy currentdensity of surface tissue that is located under the shield between thefirst opening 1408 and the second opening 1410. The magnetic fieldapplied by the first and second stimulators 1302, 1304 may pass throughthe first and second openings 1408, 1410 without significant attenuationfrom the shield 1306, but may be attenuated by the shield in the region1416 between the first and second openings. It is believed that thiseffect is attained by the presence of induced eddy currents in theshield region 1416 that have a vertical directional component (e.g.,pointing away from and/or transverse and/or perpendicular to the planeof the shield) upon activation of the magnetic stimulators. Withoutwishing to be bound by theory, it is believed that the shield 1306 isconfigured to direct the eddy currents induced by the magneticstimulators in the region 1416 to have a vertical component because thelongitudinal channels 1412, 1414 disrupt the horizontal flow of theinduced eddy currents. In the absence of the channels 1412, 1414,activation of the magnetic stimulators may induce eddy currents in theshield that only have (or predominantly have) a horizontal directionalcomponent (e.g., along and/or parallel to the plane of the shield) thatencircle and/or loop around the openings. Such horizontally directededdy currents do not form current loops transverse to the plane of theshield, but only loop along the plane of the shield. Thesehorizontally-directed eddy currents may provide little, if any,attenuation of the magnetic field from the stimulators. In the presenceof channels in the shield that intersect the openings, the inducedhorizontal/planar eddy currents may be disrupted by breaking thehorizontally-directed current loop around the openings. This disruptionmay cause the eddy currents in the space between the openings to loopacross the thickness of the shield (e.g., perpendicular to the plane ofthe shield, transverse to the plane of the shield) such that there is avertical directional component to the eddy current flow in that region.This effect is conceptually depicted in FIGS. 15A and 15B. FIG. 15Adepicts the simulated eddy currents in the shield induced duringactivation of two magnetic stimulators positioned over the openings (asshown in FIGS. 13A and 13B), and FIG. 15B depicts a cross-sectional viewof the marked-off region in FIG. 15A. As schematically depicted in FIG.15B, the induced eddy currents not only move horizontally along theplane of the shield, but also loop transversely to the plane of theshield (e.g., across the thickness of the shield). Thevertically-directed eddy currents in the shield may counteract themagnetic field applied by the magnetic stimulators in the space betweenthe openings such that the induced eddy current density in the tissueunderneath the shield is less than it would be without the shield. Whilelongitudinal channels that transect the entire thickness of the shieldare depicted and described herein, other features may be used to disruptthe induced eddy currents in the shield to create vertically-directededdy currents. Such features may include, but are not limited to,non-conductive barriers or dividers within the internal cavity of theshield, and internal walls integrally formed within the shield. Thelocation of the channels and/or eddy current barriers may vary to attainthe desired shielding effect, and need not intersect the openings alonga central axis of the openings. In some variations, the channels and/oreddy current barriers may not completely intersect the openings (e.g.,may not contact the openings), or they may intersect more than oneopening (e.g., the channels and/or barriers may extend between the leftand right side of the shield, thereby intersecting both openings).Additional variations are described below.

The location and size of the first and second openings 1408, 1410 may bedetermined at least in part by the location and size of the targetneural tissue and/or the magnetic stimulators. For example, the openingsmay be located in the center of the shield, or may be located towardsthe front, back, left and/or right side of the shield, as may bedesirable depending on the location of the neural region to bestimulated. The openings 1408, 1410 are depicted as having a circularshape, but may have any shape, including but not limited to,rectangular, elliptical, hexagonal, octagonal, etc., or any polygonalshape. The openings may be sized such that their longest dimension issmaller than the width of the magnetic stimulators. For example, thediameters of circular openings may be from about 10% to about 90% of thewidth of the magnetic stimulators, e.g., about 40% or 50% of thestimulator width. In some variations, the width of the magneticstimulators 1302, 1304 may be about 77 mm and the diameter of theopenings 1408, 1410 may be about 35 mm. Alternatively, the openings maybe sized such that their longest dimension is larger than the width ofthe magnetic stimulators. For example, the diameters of circularopenings may be from about 100% to about 200% of the width of themagnetic stimulators. The length of the space between the openings maybe determined at least in part by the size of the skin surface that isdesired to be shielded. Alternatively or additionally, the length of thespace between the openings may be determined by the size of the regionof surface tissue where the induced eddy current density would be thegreatest. For example, when the stimulators 1302, 1304 are activated,they may induce eddy currents in the skin surface that lies between thetwo stimulators having a relatively high (and/or highest) currentdensity of all the stimulated tissue regions. This may create a “hotspot” on the skin surface that could be painful for the patient, therebylimiting the duration and the frequency of treatment. The length of thatskin surface region that is subjected to a “hot spot” of eddy currentheating may be any size, for example, from about 5 mm to about 15 cm,e.g., about 30 mm, about 40 mm, about 50-60 mm. Accordingly, the size ofthe space between the two openings 1408, 1410 may have a length fromabout 3 mm to about 17 cm, e.g., about 30 mm, about 40, mm, about 57 mm.In some variations, the size of the space between the openings maydepend in part on the size of the openings. For example, the spacebetween the openings may be from about 0.5 to about 3 times the openingdiameter, e.g., about 50%-300% of the opening diameter, about 125%,about 150%, about 160%, about 200%, etc. While the shield 1302 isdepicted as having two openings, it should be understood that a shieldfor use with any of the magnetic stimulation systems described hereinmay have any number of openings, e.g., 1, 2, 3, 4, 5, 6, 8, 10, 12, 24,etc. arranged in any pattern across the shield according to the locationof the targeted neural regions. In some variations, the number andlocation of shield openings may vary depending on the type of magneticstimulator that is to be used with the shield. The shield openings maybe arranged with respect to the location of an anticipated “hot spot” ofrelatively higher eddy current density. For example, a figure-eightstimulator may generate a “hot spot” with relatively higher eddy currentdensity in tissue that is directly under the intersection of the twoplanar loops, and a magnetic stimulator may have two openings that arealigned with the two loops so that the eddy current density in thepossible “hot spot” can be reduced. An H-coil where the H-shaped regionis located at the top of a head model may generate a ring having arelatively high eddy current density around the head, and a magneticstimulator may have a plurality of openings that may also be arranged ina ring that corresponds in location with the ring of relatively higheddy current density.

The shield 1302 may have a thickness (e.g., the dimension between theexternal surface 1402 and the internal surface 1406) that is consistentacross the shield or may vary across the shield, depending on thedesired level of magnetic shielding. In some variations, the shield mayhave a thickness between about 2 mm and about 15 mm, e.g., about 4.5 mm.Some regions of the shield may be thicker than other regions, which mayprovide for greater shielding of the tissue beneath the thicker region.

As briefly described above, the channels 1412, 1414 may transect thethickness of the shield 1306 and may also intersect the openings 1408,1410. Additionally, some variations of magnetic shields may have one ormore grooves, slits, gaps and the like, at various locations in theshield such that the induced eddy currents in the shield have verticallydirected components that act to oppose and/or attenuate the magneticfield from the magnetic stimulators. Alternatively or additionally, theshield may comprise one or more walls or barriers or dividers in thefluid-filled cavity that extend between the external surface and theinternal surface that may have a similar attenuating effect. Forexample, the walls or barriers in the fluid-filled cavity may be made ofa non-conductive material which may act to block or obstruct eddycurrents induced in the shield. The width of the channels and/orbarriers may be any width that will substantially block the fluid flowand/or disrupt horizontal eddy current loops (e.g., the smallestpossible width to attain these effects may be used). In some variations,the width of the channels may be from about 0.25 mm to about 5 mm, e.g.,about 2 mm. The internal walls or barriers may intersect the one or moreopenings in the shield. In some variations, the internal walls orbarriers may be integrally formed with the external surface and/orinternal surface of the shield. The internal barriers and/or channels ofa shield may separate the shield into separate chambers, compartments,or sections such that little or no fluid from one chamber or section isin direct communication with the fluid in another section. Such fluidseparation may help to ensure that the induced eddy currents form loopsthat are transverse to the plane of the shield (e.g.,vertically-directed) instead of currents that form loops that areparallel to the plane of the shield (e.g., horizontally-directed). Forexample, as seen from the top view depicted in FIG. 14B, the channels1412, 1414 may divide the shield 1306 into three separate sections orchambers 1418, 1420, 1422. The fluid in each of these sections is not incommunication with the fluid in any other section, such that currents inone section cannot form a loop with currents in another section. Whiletotal isolation and/or separation of these shield sections are depicted,in some variations, these sections may not be entirely isolated fromeach other. For example, a shield may have one or more channels and/orbarriers that substantially impede the flow of fluid such that inducededdy currents have a substantial vertical directional component, butthose channels and/or barriers may not entirely block the flow of fluidbetween different sections. Such channels or barriers may not entirelytransect the thickness of the shield, and/or may not entirely intersectan opening (e.g., the channel or barrier may extend near an opening, butmay not intersect or contact the opening). In some variations, a shieldmay comprise one or more sections that may be fluidly isolated from theother sections, as well as one or more sections that are not fluidlyisolated from the other sections.

Channels and/or barriers that disrupt horizontally-directed eddy currentloops to form vertically-directed current loops may be located atvarious regions on the shield. The channels 1412, 1414 of shield 1306are located such that they extend between the front region 1403 and theback region 1405 of the shield, however, they may also extend betweenthe right 1407 and the left 1409 regions of the shield. Each channel mayintersect at least one opening, and/or may intersect two openings. Forexample, a channel or barrier that extends between the right and leftregions of the shield 1306 may intersect both the first opening 1408 andthe second opening 1410. In some variations, a first channel or barriermay extend from the back of the shield to an opening and a secondchannel or barrier may extend from the opening to the front of theshield, where the first and second channels are not aligned (e.g., notco-linear). In some variations, the first and second channels may beperpendicular to each other. A plurality of channels and/or barriers maybe arranged to form a grid or matrix across the surface of the shield,which may divide the shield into multiple separate sections or chambers.Channels and/or barriers may also extend across the surface in a randompattern, which may act to further disrupt horizontal looping of inducededdy currents. Optionally, a shield may comprise channels or barriersthat do not intersect any openings. For example, a shield may compriseone or more channels and/or barriers that entirely transect thethickness of the shield and intersect an opening as well as one or morechannels that do not entirely transect the thickness of the shieldand/or intersect an opening. Alternatively, a shield may comprise onlychannels and/or barriers that do not entirely transect the thickness ofthe shield and/or intersect an opening. A shield may comprise channelsand/or barriers that extend across the entire length of the shieldand/or may comprise channels and/or barriers that extend across only asub-portion of the shield (e.g., the length of the channel and/orbarriers may be less than the length of the shield.

A shield that comprises one or more channels that entirely transect thethickness of the shield that divide the shield into two or more separatesections may also comprise an attachment mechanism to retain theseparate sections together. A shield may comprise a frame thatcircumscribes the lower edge of the shield. The frame may have a slotinto which the lower edge of the shield may be inserted and retained(e.g., by friction-fit, snap-fit, screw-fit, adhesives, etc.).Alternatively or additionally, adhesives may be used to attach theseparate sections of the shield together. For example, there may be anadhesive sheet or film that adheres to the internal surface of theshield such that all the separate sections are adhered to the sheet orfilm. Alternatively or additionally, the separate sections of a shieldmay be attached to each other via snap-fit, screw-fit, and/orfriction-fit. In some variations, the separate sections may be weldedtogether, and/or may be integrally molded. For example, the separatesections may be individual compartments that are connected byintervening segments of shell material to form the overall shield.

A magnetic shield may be positioned such that the openings of the shieldare aligned with the magnetic stimulators. For example, in thestimulation system 1300, the first and second openings 1412, 1414 of theshield 1306 are aligned with the first and second magnetic stimulators1302, 1304 such that the center of each opening is aligned with thecenter of the corresponding magnetic stimulator. Magnetic stimulationsystems that comprise a first and second helically coiled stimulator mayhave a shield with first and second openings that are aligned with thecenter of each helical coil. While the stimulators 1302, 1304 may behelically coiled stimulators (such as those described and depicted inFIGS. 1-3), in some variations, they may be looped co-planar stimulators(such as the figure-eight coils described and depicted in FIG. 6).Magnetic stimulation systems that comprise a first and secondfigure-eight stimulator (which has a first loop attached to a secondloop) may have a shield with first and second openings, where the firstand second openings may be aligned with the center of each loop during aprocedure. In some variations, the openings may not be aligned with thestimulators. For example, the figure-eight stimulator may be positionedover the shield such that the juncture between the first and second loopis located over the opening. The location of the one or more openings ina shield may vary with respect to the stimulators depending on thelocation and depth of the target neural tissue. For example, shields forstimulating brain tissue may have openings and channels (and/orbarriers) in different locations across the plane of the shielddepending on the location of the region of the brain to be stimulated.Alternatively or additionally, the magnetic stimulators may be movedrelative to the openings to adjust the penetration depth of the magneticfield and/or vary the location of the tissue regions that arestimulated. Moving the magnetic stimulators relative to the openings mayrefine or tune the eddy current distribution in the neural tissue suchthat the same tissue areas experience the effect of induced eddycurrents, but with different degrees of magnitude or direction.Alternatively or additionally, in the course of a treatment, differentshields having openings in different locations may be used so that apractitioner can direct magnetic stimulation to multiple regions of thebrain. For example, shields with different amount of spacing between theopenings may be used depending on the regions of the brain that need tobe shielded. In some variations, areas of the brain and/or scalp tissuethat are particularly sensitive to magnetic fields (e.g., wherestimulation of that region may cause pain and/or seizures) may beshielded from stimulation by using a shield where the space between theopenings is positioned over the region to be protected. During use, apatient may wear the shield such that it closely contacts the skinsurface (e.g., scalp). This may help facilitate the shielding effect andheat dissipation from the skin surface, as well as allow the magneticstimulators to be positioned close to the skin surface.

FIGS. 13A-13C depict a magnetic stimulation system comprising pair ofhelically coiled stimulators and a shield, however, other magneticstimulation systems may comprise stimulators with alternate geometries.For example, a magnetic stimulation system may comprise at least oneH-coil and at least one shield, where the locations and number of theshield openings may correspond to the location of a ring of relativelyhigh eddy currents in the tissue induced by the H-coil. While themagnetic stimulation system 1300 as depicted comprises two magneticstimulators, it should be understood that a magnetic stimulation systemmay have more than two magnetic stimulators (e.g., 3, 4, 5, 6, 8, 10, 12or more) or may have a single magnetic stimulator. A magneticstimulation system having a plurality of stimulators may have a twodimensional array of stimulators. Alternatively, the plurality ofstimulators may be arranged in a line (e.g., a one dimensional array).For example, a plurality of stimulators may be arranged such that theycircumscribe the surface of a generally spherical magnetic shield. Insome variations, the number of openings in a shield may correspond withthe number of magnetic stimulators that are to be used during treatment,while in other variations, there may be a different number of openingsand stimulators. Magnetic shields may be separate from the magneticstimulators, or may be contained in the same housing as the magneticstimulators.

As described above, the internal cavity of the shield may comprise aconductive fluid, such as saline, salt water, and the like. Optionally,the conductive fluid may comprise a material that changes its opticalcharacteristics (e.g., color, light absorbency, refraction, etc.) as afunction of the direction and/or magnitude of a magnetic field. In somevariations, the conductive fluid may comprise sulfuric acid solutionscontaining super-paramagnetic nanoparticles. For example, the conductivefluid may comprise a super paramagnetic material, for example, ironoxide nanocrystal particles, which may change color based on the ambientmagnetic field. In some variations, the iron oxide nanocrystal particlesmay be in clusters. For example, super paramagnetic Fe₂O₃ nanoparticlesmay form a stable particulate suspension which retains its molecularmobility character, as carried by the commonly-used inert and porouspolymer, e.g. polymer of polyacrylic acid (PAA). The suspension may beelaborately adjusted to its desired homogeneity and viscosity by pHdegree optimization by balancing the ratio of sulfuric acid versusNaOH/PEG (polyethelene glycol) solution. When such a suspension isexposed to a magnetic field (e.g., the magnetic field applied by one ormore magnetic stimulators), the distance between the intermolecularFe₂O₃ nanoparticles may change, thereby changing the color ofsuspension. Such a color change may act as a visible magnetic fieldstrength marker, so the practitioner has real-time feedback about themagnetic field strength in a particular location of the shield. Magneticcompounds which may be used in a conductive fluid may include thetransition metal oxides, sulfides, silicides and carbides, optionallyhaving different transition metals in a single magnetic compound, suchas Gd₃fe₅O₁₂. Preferred are the class of magnetic oxides known asferrites, generally represented as MO.Fe₂O₃ in which M is Zn, Gd, V, Fe,Ni, Cu, Co, Mg, such as Iron(II,III) oxide (Fe₃O₄) and in particularmagnetite (FeO.Fe₂O₃). The external and/or internal surfaces of theshield may be made of a transparent or translucent material, such ashigh density polyethylene, polyvinyl chloride, poly acrylic acid, andthe like such that optical changes to the fluid may be observed. Duringa procedure, the practitioner may monitor the strength and/ordistribution of the magnetic field that is applied to the patient byobserving the color and/or changes in color of the fluid within theshield. For example, in the presence of a high-strength magnetic field,a conductive fluid such as a sulfuric acid containing iron oxidenanocrystals may change to a blue color. Areas of blue on the shieldwould indicate regions where the magnetic field is relatively stronger.This may help to ensure that an excessive and/or dangerous level ofmagnetic stimulation is not delivered to the patient, and may also helpthe practitioner to adjust the position of the stimulator with respectto the shield to facilitate treatment to the target tissue whilereducing the exposure of non-target tissue to magnetic fields.

The conductive fluid within a shield may also act as a thermal sink todisperse heat generated from the magnetic stimulation (e.g., due to theinduced eddy currents within the tissue). In conjunction with thevertically-directed eddy currents that counteract the magnetic field inthe region(s) between openings in the shield, the conductive fluid mayhelp to reduce the sensation of pain during a procedure by dissipatingthe heat resulting from induced eddy currents in the scalp. This heatdissipation may reduce the sensation of pain across the entire skinsurface in contact with the shield, and facilitate with the reduction ofpain due to “hot spots”. This may allow the practitioner to delivergreater amounts of stimulation to the patient without increasing thesensation of pain at the skin surface. The fluid may be provided duringmanufacture and remain statically enclosed in the shield during use(i.e., it flows only within the shield and is not circulated outside ofthe shield). Optionally, in some variations, a fluid is introduced intothe shield before and/or during a treatment procedure. In somevariations, a shield may comprise a fluid inlet port for the ingress offluids and a fluid outlet port for the egress of fluids. Dynamic flow offluid into and out of the shield may facilitate the circulation offluids within the shield such that fluid heated during magneticstimulation is circulated out to an external heat exchanger. After theheated fluid is cooled, it is circulated back into the shield. The fluidmay be circulated continuously throughout the entire duration of thetreatment session, or may be circulated sporadically (e.g.,periodically) during the treatment session. Each section of a shield mayhave a pair of inlet and outlet ports. FIGS. 16A and 16B schematicallydepict the top view of different variations of shields that compriseinlet and outlet ports for the circulation of the conductive fluidwithin the shield. FIG. 16A depicts a shield 1600 comprising a firstopening 1602, a second opening 1604, a first channel or current barrier1606, a second channel or barrier 1608, and an internal fluid-filledcavity within the wall of the shield (e.g., between the external andinternal surfaces) comprising a conductive fluid (e.g., any of theconductive fluids described previously). The first channel 1606 andsecond channel 1608 divide the shield 1600 into a first section 1610,second section 1612, and a third section 1614. These sections may or maynot be fluidly isolated from each other, and in some variations, onesection may be fluidly isolated from the other section, while the othersections are fluidly connected to each other. The shield 1600 may alsocomprise a first fluid inlet port 1601 and a first fluid outlet port1611 in the first section 1610, a second fluid inlet port 1603 and asecond fluid outlet port 1613 in the second section 1612, and a thirdfluid inlet port 1605 and a third fluid outlet port 1615 in the thirdsection 1614. While the inlet and outlet ports are depicted as beinglocated near the edge of the shield 1600, it should be understood thatany of these ports may be located at any desired region of the shield.There may also be more than one inlet and/or outlet port in eachsection, which may vary the rate of fluid inflow and outflow, as may bedesirable. For example, FIG. 16B depicts another variation of a shield1620 comprising a first opening 1622, a second opening 1624, a firstchannel or current barrier 1626, a second channel or barrier 1628, andan internal fluid-filled cavity within the wall of the shield comprisinga conductive fluid. The first channel 1626 and second channel 1628divide the shield 1620 into a first section 1630, second section 1632,and a third section 1634, where these sections may or may not be fluidlyisolated as described above. The shield 1620 may also comprise a firstfluid inlet port 1621 and a first fluid outlet port 1631 in the firstsection 1630, a second fluid inlet port 1623 and a second fluid outletport 1633 in the second section 1632, and a third fluid inlet port 1625and a third fluid outlet port 1635 in the third section 1634. Inaddition, the shield 1620 may comprise a fourth inlet port 1627 and afourth outlet port 1637 in the first section 1630, and a fifth inletport 1629 and a fifth outlet port 1639 in the third section 1634. Theseadditional inlet and outlet ports may facilitate the rate of fluidcirculations in those sections. An increased number of fluid portslocated at various regions in the shield section may be desirable insituations where those sections cover tissue regions that areparticularly sensitive to heat, and/or where a section covers a largerarea, requiring more fluid circulation to attain similar levels of heatdissipation as sections with smaller areas.

While the magnetic shields described above are depicted has having twocircular openings and two channels and/or current barriers, it should beunderstood that a magnetic shield may have any number of openings andchannels and/or current barriers, with any geometry, and located at anyregion in the shield. FIGS. 17A-17D depict a top view of differentmagnetic shield variations. FIG. 17A depicts a shield 1700 comprisingtwo oval shaped openings 1702, 1704 located centrally on the shield.FIG. 17B depicts a shield 1710 comprising two circular openings 1712,1714 that are located near an edge of the shield 1710. The openings in ashield may be located towards the front, back, left and/or right edgesof the shield, as may be desirable to facilitate stimulation of neuraltissue in those regions. FIG. 17C depicts a shield 1720 that comprisestwo openings 1722, 1724, a first channel and/or current barrier 1726, asecond channel and/or current barrier 1728, a third channel and/orcurrent barrier 1725, and a fourth channel and/or current barrier 1727.The channels may all intersect at least one opening. The first channel1726 and the second channel 1728 may extend along the entire length ofthe shield (e.g., from the front to the back of the shield), and mayconverge at the edge 1721 of the shield. The third channel 1725 mayintersect the first opening 1722 in a direction that is perpendicular tothe first channel 1726. The fourth channel 1727 may intersect the secondopening 1724 in a direction that is at an angle relative to the secondchannel 1728 (e.g., offset from an axis of symmetry of the opening1724). Channels may extend along a length that is shorter than thelength of the shield, and may extend between the left and right edges ofthe shield. FIG. 17D depicts a top view of a shield 1730 that comprisestwo openings 1732, 1734, a first channel and/or current barrier 1736, asecond channel and/or current barrier 1738, and a third channel and/orcurrent barrier 1739. While the first and second channels intersect thefirst and second openings respectively, the third channel 1739 does notintersect any openings. The length of the third channel 1739 may be lessthan the length of the overall shield 1730. While the third channel 1739is depicted along an axis of symmetry of the shield 1730, it may belocated at any region of the shield and may have any orientation. Thelocation and/or orientation of the channels and/or openings may or maynot be symmetric (e.g., radially or bilaterally symmetric) with respectto the overall shield shape. While the overall shape of the shieldsdepicted herein are configured for use over a patient's head, shieldsmay be shaped to accommodate any anatomical region as may be desirable.For example, a shield may be elongated such that it can be appliedaround a patient's torso for shielding and shaping magnetic stimulationof peripheral nerves and/or organs. The overall shape of the shield mayvary, and in some variations, may be as small as the size of a singlemagnetic stimulator and may be as large as the entire anatomicalstructure that is to be treated. In some variations, the shield may beenclosed in a helmet that is worn by the patient, where the magneticstimulators may be enclosed in the helmet, or separately disposed fromthe helmet. It should be understood that any of the features describedand depicted in any one shield embodiment may be included (alone or incombination) with any of the features described and depicted in adifferent shield embodiment.

The distribution of induced eddy currents in brain tissue usingdifferent magnetic stimulation systems was simulated on amicroprocessor. FIGS. 18A-18E depict the simulation results for magneticstimulations systems that comprise different stimulators and shields.FIG. 18A depicts the eddy current distribution in a head model inducedby a magnetic stimulation system comprising a figure-eight stimulator.FIG. 18B depicts the eddy current distribution in a head model inducedby a magnetic stimulation system comprising two helically coiledstimulators. FIG. 18C depicts the eddy current distribution in a headmodel induced by a magnetic stimulation system comprising two helicallycoiled stimulators and the shield described above and depicted in FIGS.14A-14D. Simulation parameters for the cortical bone of the skull andbrain white matter, as well as the current applied to the simulatorswere the same as previously described (see FIGS. 4A-4D). FIG. 18Ddepicts a plot of the normalized eddy current density (i.e., eddycurrent density is normalized to the maximum eddy current density valueat the surface of the head model) in the white matter of the head modelas a function of the depth into the head (along the line denoted byarrow 1800, which is along a line of symmetry for both the figure-eightand helically coiled stimulators). The line with short dashes representsthe eddy current density induced by the magnetic stimulation system ofFIG. 18A, the line with long dashes represents the eddy current densityinduced by the magnetic stimulation system of FIG. 18B, and the solidline represents the eddy current density induced by the magneticstimulation system of FIG. 18C. Although the eddy current density is thesame for all three systems at the surface of the head (e.g., the scalp),the current density decreases at a greater rate for the figure-eightstimulation system (18A) than for the either of the helically coiledsystems (18B and 18D). The current density for the FIG. 18C system doesnot decrease as much as the current density for the FIG. 18B system. Forexample, at a head depth of about 25 mm, the eddy current density forthe figure-eight stimulation system is about 16% of the surface eddycurrent density, while the eddy current density for the helical coilstimulation system without shielding is about 24% of the surface eddycurrent density, and the eddy current density for the helical coilstimulation system with shielding is about 33% of the surface eddycurrent density. For the system of FIG. 18A, the eddy current density isreduced to 20% of the scalp current density at a depth of about 22 mm,however, for the system of FIG. 18C, the eddy current density is reducedto 20% of the scalp current density at a depth of about 33 mm. Putanother way, with the same amount of current applied to the stimulatorsof the three different systems, the magnitude of the eddy currentdensity induced by the FIG. 18C system is greater at a deeper depth intothe white matter of the head model as compared to the eddy currentdensity induced by the FIG. 18A and FIG. 18B systems (which do not haveshielding). FIG. 18E depicts a plot of the normalized eddy currentdensity (i.e., eddy current density is normalized to the same eddycurrent density value at a depth of 25 mm) in the white matter of thehead model as a function of the depth into the head. In order for theFIG. 18A system to attain the same eddy current density at a depth of 25mm as the FIG. 18C system, the eddy current density at the surface ofthe head needs to be about two times the eddy current density of theFIG. 18C system. That is, a greater amount of current would need to beapplied to the figure-eight stimulators than the amount of current thatneeds to be applied to the helical coils of the FIG. 18C stimulationsystem. In other words, using the FIG. 18C system instead of the FIG.18A system would decrease the surface eddy current by about 50%.Reducing the surface eddy current by about 50% may also reduce theamount of heat experienced by the patient at the scalp, which would helpreduce the sensation of pain or discomfort.

Described herein are kits for the treatment of neurological disordersusing magnetic stimulation. One variation of a kit may comprise one ormore types of magnetic stimulators. For example, a kit may comprise atleast one helically coiled stimulator, and may optionally comprise atleast one of a figure-eight stimulator. Another variation of a kit maycomprise at least one stimulator and at least one shield. For example, akit may comprise at least one helically coiled stimulator and the shielddepicted in FIGS. 14A-14D. Optionally, a kit may comprise at least onehelically coiled stimulator and a plurality of shields, where theopenings and/or channels in the shield may vary for each shield. Forexample, the location of the openings in each shield of the kit may bedifferent in order to allow the practitioner to select the shield withthe openings located in the proximity of the target tissue. The size andshape of the shields, location and number of channels in each shield,number of fluid inlets and outlets in each shield, and other featuresthat have been previously described may be different for each shield inthe kit. The one or more magnetic shields in a kit may be alreadypre-filled with a conductive fluid, or may not be filled with aconductive fluid (in such case, the conductive fluid is introduced intothe shield just prior or during treatment).

The magnetic neural stimulation systems described herein may be used tostimulate peripheral nerves and/or nerves of the autonomic system,including the brain and spine. For example, a neural stimulation systemfor the targeted stimulation of renal nerves may comprise one or morehelical coils having a plurality of acute turns, and may optionallycomprise one or more cylindrical shielding components. The size, numberof turns, and placement of the helically coiled stimulator with respectto the renal nerves may be adjusted to efficiently stimulate the renalnerves while reducing stimulation to adjacent tissue. Other nerves thatmay be stimulated using any of the stimulators and/or shieldingcomponents disclosed herein include the celiac plexus, aorticorenalganglion, the aortic plexus, etc. The magnetic stimulation systemsdescribed herein may also be used in the treatment of various types ofneurological disorders/disease in all areas of the body, including, butnot limited to: vagus nerve disorders/diseases (which may spread alongthe area of tissues or organs innervated by the vagus nerve, extendingfrom the brain to the abdomen), spinal cord and peripheral nervedisorders, back and joint pains related to neural disorders, heartarrhythmia and heart nerve pain, pelvic neuropathy related to fecal orbladder incontinence, headaches, migraines, depression,obsessive-compulsive disorder, insomnia, bipolar disease, post-traumaticstress syndrome, Parkinson's disease, schizophrenia, dystonia, autism,pain, and epileptic or febrile seizures, etc. The magnetic stimulationsystems described herein may also be used in the treatment of otherdiseases, including tumors in different states of progression andvarious autoimmune diseases (e.g. multiple sclerosis, disablingrheumatoid arthritis, etc.).

What is claimed is:
 1. A magnetic stimulation system comprising: a firstcoil comprising a single wire having a plurality of turns; and a shieldcomprising: an external surface and an internal surface both comprisinga non-conductive material, wherein the first coil is disposed above theexternal surface; an internal cavity defined between the externalsurface and the internal surface; a first opening, penetrating throughthe shield and communicating the external surface and the internalsurface; and a first channel, formed on the external surface andintersecting the first opening, wherein a depth of the first channelextends through an entire thickness of the shield to divide the internalcavity; and a conductive substance, filled in the internal cavity. 2.The magnetic stimulation system of claim 1, wherein the conductivesubstance is a conductive fluid.
 3. The magnetic stimulation system ofclaim 2, wherein the conductive fluid comprises a super-paramagneticcompound.
 4. The magnetic stimulation system of claim 3 wherein thesuper-paramagnetic compound is a magnetic oxide (MO—Fe₂O₃), where M isselected from the group consisting of Zn, Gd, V, Fe, Ni, Cu, Co, Mg. 5.The magnetic stimulation system of claim 2, wherein the conductive fluidcomprises saline.
 6. The magnetic stimulation system of claim 2, whereinthe shield further comprises an inlet port for ingress of the conductivefluid and an outlet port for egress of the conductive fluid.
 7. Themagnetic stimulation system of claim 6, wherein the inlet port and theoutlet port are configured to be connected to a heat exchanger, whereinthe heat exchanger is configured to cool the conductive fluid receivedfrom the outlet port and transport the cooled conductive fluid to theinlet port.
 8. The magnetic stimulation system of claim 1, wherein theexternal and internal surfaces of the shield are made of a transparentmaterial.
 9. The magnetic stimulation system of claim 8, wherein thetransparent material is high density polyethylene.
 10. The magneticstimulation system of claim 8, wherein the transparent material ispolyvinyl chloride.
 11. The magnetic stimulation system of claim 8,wherein the transparent material is poly acrylic acid.
 12. The magneticstimulation system of claim 1, wherein the first channel is configuredto shape current flow through a conductive fluid such that the directionof the current flow has a vertical component that is perpendicular tothe external and/or internal surfaces of the shield.
 13. The magneticstimulation system of claim 1, wherein each turn of the first coil has aturning angle of less than 90 degrees.
 14. The magnetic stimulationsystem of claim 1, wherein the first coil has a first end and a secondend, wherein the first end is configured to be connected to a positiveterminal of a high voltage source and the second end is configured to beconnected to a negative terminal of the high voltage source.
 15. Themagnetic stimulation system of claim 1, further comprising a second coiladjacent to and connected in series with the first coil, and wherein theshield further comprises a second opening penetrating through the shieldand communicating the external surface and the internal surface; and asecond channel formed on the external surface and intersecting thesecond opening, and a depth of the second channel extends through theentire thickness of the shield to divide the internal cavity.
 16. Themagnetic stimulation system of claim 15, wherein the first and thesecond openings are circular and have a diameter that is less than adiameter of the first and the second coils.
 17. The magnetic stimulationsystem of claim 15, wherein a separation between the first and secondopenings is less than or equal to a radius of the first and secondcoils.
 18. The magnetic stimulation system of claim 1, furthercomprising at least two more coils adjacent to each other and connectedin series with the first coil, and wherein the shield further comprisesadditional openings for each of the at least two more coils respectivelyto penetrate through the shield and communicating the external surfaceand the internal surface; and additional channels for the additionalopenings formed on the external surface and intersecting the openings,and a depth of the additional channels extending through the entirethickness of the shield to divide the internal cavity.